The postpartum period brings significant changes for new mothers, both physically and mentally. It’s important for new moms to prepare and adapt to these changes.
Physically, the body undergoes changes to support breastfeeding and to return to its pre-pregnancy state. The arrival of a new family member also impacts the mental well-being of both parents, especially the mother. Being prepared for these changes can help make the transition smoother. Here’s what you should know and do after returning home postpartum:
Perineal wound care Clean the area every time you urinate or have a bowel movement using soap and clean water, then gently pat the wound dry. If the stitches used are dissolvable, they do not need to be removed, and the wound typically heals within five days. There is no need for traditional postpartum steaming of the wound.
Surgical wound care You can shower as usual if the wound is covered with a waterproof dressing. After bathing, pat the wound dressing dry and follow the wound care instructions given before leaving the hospital. The wound usually heals in about seven days.
Diet After giving birth, it’s important to eat a balanced diet to help your body recover and to provide sufficient nutrients for milk production. Eating vegetables and fruits can help prevent constipation, which is common in the first week postpartum due to the fear of pain from pushing during bowel movements. Mothers who are breastfeeding should ensure they eat a complete diet and drink more water or milk.
Postpartum mothers use a lot of energy caring for their newborn, which can lead to weight loss. However, it’s important to limit foods high in starch, fat, sweets, and fruits that can cause weight gain, as these can be difficult to shed later. Light exercise and adequate rest can help mothers regain their pre-pregnancy shape and stay healthy. Neglecting to manage weight gain could increase the risk of obesity-related illnesses such as diabetes and heart disease.
“Foods to avoid include fermented foods, spicy foods, tea, coffee, alcoholic beverages, and anything containing alcohol, as these substances can be passed through breast milk.”
Rest During the postpartum period, mothers are still fatigued from blood loss and the energy expended during childbirth. It’s essential to get enough rest, at least 6-8 hours per day, especially in the first two weeks.
Hygiene Mothers can bathe as usual using a bucket or a shower, but should avoid soaking in a bathtub or swimming, as the cervix may not be fully closed, potentially allowing bacteria to enter the uterus and cause infection. Hair washing can be done as needed. After using the bathroom, ensure thorough cleaning and dry the area before using sanitary pads, which should be changed when wet or at least twice daily.
Daily activities In the first six weeks postpartum, you can engage in light activities such as cooking or sweeping, but avoid lifting heavy objects or activities that strain the abdominal muscles, as this can cause pain at the surgical site or uterine prolapse due to the stretching of ligaments. Climbing stairs is permissible, but be cautious of slipping or dizziness, which can lead to accidents.
Driving is also allowed unless you experience pain or tension around the surgical site or perineal wound. It’s advisable to wait until the wound has healed, approximately four weeks after a vaginal delivery or six weeks after a cesarean section, before resuming normal activities.
A common issue for new mothers is dedicating all their time and energy to their baby, often neglecting their own health. This can lead to poor diet, lack of exercise, and late nights worrying about the baby’s well-being. It’s important for mothers to take care of themselves to avoid illness. The mental health of the mother is also crucial during this time, so partners should support by sharing responsibilities. If planning to have more children, it’s advisable not to have pregnancies too close together, ideally spacing them 1-2 years apart, to ensure both the mother and baby are healthy. A healthy and happy mother contributes to a healthy and happy baby.
